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Organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Active
Organization
TEXAS ALLIANCE MEDICAL GROUP, PA
Active
Other names
Doctors Clinic Houston
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ALLISON M.D. (MEDICAL DIRECTOR)
(281) 977-8372
Entity
Organization
Contact information
Practice address
6969 GULF FWY STE 370, HOUSTON, TX 77087-2599
(713) 643-0600
(713) 641-4229
Mailing address
14770 MEMORIAL # 200, HOUSTON, TX 77079-5252
(281) 493-5535
(281) 493-3353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00438N
BCBS
TX
05
—
080591301
—
TX
05
—
080591305
—
TX
05
—
080591306
—
TX
01
—
CG5146
RAIL ROAD MEDICARE
TX
Enumeration date
03/26/2007
Last updated
01/18/2021
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